- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $521.00 / $2,221.00 / $7,542.00
| Facility | | $521.00 | $2,221.00 | $7,542.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,384.65 / $4,558.00 / $8,904.69
| Facility | | $2,384.65 | $4,558.00 | $8,904.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $421.08 / $421.08 / $421.08
| Facility | | $421.08 | $421.08 | $421.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,376.10 / $2,376.10 / $2,376.10
| Facility | | $2,376.10 | $2,376.10 | $2,376.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,388.90 / $12,000.00 / $12,000.00
| Facility | | $9,388.90 | $12,000.00 | $12,000.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $459.70 / $622.28 / $1,032.21
| Facility | | $459.70 | $622.28 | $1,032.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $459.70 / $626.42 / $1,180.75
| Facility | | $459.70 | $626.42 | $1,180.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,154.00 / $3,314.00 / $7,600.00
| Facility | | $1,154.00 | $3,314.00 | $7,600.00 |